Taber Carpenter Catillaz, MED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022382-01 Issued in NY

Practice address

37 Jackson St
Saratoga Springs, NY 12866-4807

Phone

(757) 630-3126

NPI assigned

Jan 5, 2012

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1043580210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N JEFFERSON ST UPPR LEVEL",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013341",
            "telephone_number": "757-630-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 JACKSON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664807",
            "telephone_number": "757-630-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATILLAZ",
        "first_name": "TABER",
        "middle_name": "CARPENTER",
        "name_prefix": "Ms.",
        "credential": "MED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006546",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022382-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.